How much does Medicare pay for CPT 15275?

Medicare allowed an average of $129.23 per service and paid $102.37 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $389.70, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does 15275 pay differently in an office than a hospital?

Yes. The allowed amount averaged $137.53 in an office setting and $79.54 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 15275 most?

Podiatry, with 25,202 services from 289 clinicians. Next are Dermatology, Nurse Practitioner, Micrographic Dermatologic Surgery.

CPT 15275

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less

$129.23Medicare-allowed amount per service, averaged across 78,974 services

Providers submitted

$389.70

Asking price, not received

Medicare allowed

$129.23

The fee schedule figure

Medicare paid

$102.37

Balance is patient coinsurance

Providers submitted an average of $389.70 for this code and Medicare allowed $129.23 — 3.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $102.37 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $137.53
Hospital / facility: $79.54

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 67,673 services were billed in an office setting and 11,301 in a facility.

Services: 78,974
Beneficiaries: 25,078
Providers billing it: 973
Total allowed: $10,205,810

What Medicare pays for CPT 15275

Across 78,974 services billed by 973 providers to 25,078 beneficiaries, Medicare allowed an average of $129.23 per service. That is 3.1 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 15275

Specialty	Services	Beneficiaries	Avg allowed	Providers
Podiatry	25,202	5,206	$136.45	289
Dermatology	21,225	9,761	$124.69	272
Nurse Practitioner	8,108	2,111	$117.34	118
Micrographic Dermatologic Surgery	3,998	1,975	$118.86	44
Family Practice	3,650	648	$133.22	35
Physician Assistant	3,398	1,288	$128.73	55
General Surgery	2,709	705	$110.23	34
Internal Medicine	2,666	551	$146.43	22
Plastic and Reconstructive Surgery	1,969	814	$137.21	28
Otolaryngology	1,679	761	$141.26	22
Emergency Medicine	804	182	$117.60	12
General Practice	698	181	$152.38	4
Undersea and Hyperbaric Medicine	618	144	$130.27	5
Pediatric Medicine	566	119	$131.87	1
Vascular Surgery	528	110	$141.46	7

15275 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	14,669	$150.63	$108.51	132
Florida	11,451	$130.70	$101.30	149
Texas	7,528	$129.49	$104.43	84
Illinois	3,275	$138.39	$105.85	35
Kansas	2,762	$110.76	$96.66	27
Georgia	2,750	$124.20	$101.23	39
Alabama	2,524	$113.91	$97.12	23
Oklahoma	1,912	$130.19	$110.78	20
Washington	1,830	$129.50	$98.65	14
South Carolina	1,825	$122.18	$102.40	25
Virginia	1,766	$126.30	$102.12	29
New York	1,759	$133.19	$90.89	27
Nevada	1,753	$129.79	$102.97	22
Kentucky	1,722	$124.94	$103.11	13
Arizona	1,610	$114.22	$89.77	29
Indiana	1,551	$92.83	$78.46	16
Ohio	1,512	$125.78	$103.39	24
West Virginia	1,309	$125.75	$110.74	10
Mississippi	1,234	$113.16	$96.61	17
Tennessee	1,169	$121.92	$103.46	18
Colorado	1,074	$142.62	$113.56	12
North Carolina	1,002	$117.36	$97.41	23
Missouri	964	$110.24	$90.40	18
Maryland	881	$105.14	$78.40	15
Louisiana	875	$117.34	$97.88	12
Michigan	868	$111.28	$87.12	15
Utah	865	$142.06	$116.44	7
Arkansas	717	$105.04	$91.36	12
Massachusetts	677	$109.64	$83.69	14
New Jersey	613	$133.98	$96.81	12
Oregon	575	$120.47	$88.99	14
Pennsylvania	559	$115.31	$88.34	11
Connecticut	451	$98.67	$73.32	8
Nebraska	421	$122.21	$107.58	5
Iowa	325	$147.53	$118.23	3
District of Columbia	315	$161.89	$112.93	3
Idaho	270	$126.63	$111.24	4
New Mexico	258	$142.03	$117.51	2
Minnesota	243	$109.41	$87.54	7
Delaware	239	$115.60	$90.26	3
New Hampshire	231	$115.19	$90.54	5
Montana	202	$76.44	$59.22	4
Wisconsin	187	$131.00	$107.47	3
South Dakota	164	$73.49	$59.93	5
North Dakota	45	$87.39	$72.29	1
Maine	42	$79.49	$58.41	2

Related codes

15271Application of skin substitute graft to wound of trunk$128.42
15260Full thickness skin graft to nose$928.72
15272Application of skin substitute graft to wound of trunk$22.96
15274Skin substitute graft to wound 100.0 sq cm or more of trunk$48.85
15240Full thickness skin graft to forehead$841.38
15273Skin substitute graft to wound 100.0 sq cm or more of trunk$211.10
15220Full thickness skin graft to scalp$669.90
15276Application of skin substitute graft to wound of face$29.63

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.